Side Effects of Antidepressants: What to Expect - Psychiatry

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When it comes to understanding the side effects of antidepressants, it's essential to recognize that each individual may respond differently to medication. In your case, you mentioned taking a half tablet of "憂必晴" (likely referring to an antidepressant like Escitalopram or a similar SSRI) and experiencing dizziness, slight nausea, and drowsiness shortly after. These symptoms can indeed be associated with the initiation of an antidepressant or an increase in dosage.

Antidepressants, particularly SSRIs (Selective Serotonin Reuptake Inhibitors), can cause a range of side effects, especially when starting treatment or adjusting the dosage. Common side effects include:
1. Dizziness: This can occur as your body adjusts to the medication. It may be more pronounced if you are also taking other medications, such as "利他能" (likely referring to a stimulant like Adderall), which can have stimulating effects that might conflict with the sedative effects of some antidepressants.

2. Nausea: Gastrointestinal upset is a common side effect when starting or increasing the dose of antidepressants. This usually subsides after a few days to weeks as your body adjusts.

3. Drowsiness: Some antidepressants can cause sedation, especially when taken in the morning. If you find that drowsiness is interfering with your daily activities, it may be worth discussing with your doctor whether to adjust the timing of your medication or consider a different medication.

To address your current symptoms, here are some strategies you might consider:
- Hydration: Ensure you are drinking enough water, as dehydration can exacerbate dizziness and nausea.

- Light Snacks: Eating a small, bland snack can sometimes help alleviate nausea. Foods like crackers or toast can be gentle on the stomach.

- Rest: If possible, take a short break to rest. Sometimes, lying down in a quiet, dark room can help alleviate dizziness.

- Movement: If you feel up to it, gentle movement or stretching can sometimes help reduce feelings of dizziness. However, be cautious and avoid sudden movements.

It's crucial to communicate with your prescribing physician about these side effects. They can help determine whether these symptoms are expected and manageable or if they warrant a change in your treatment plan. If the dizziness and nausea persist or worsen, or if you experience any severe side effects, do not hesitate to seek medical attention.

Moreover, it's important to remember that while medication can be a vital part of managing anxiety and depression, combining it with therapy, lifestyle changes, and coping strategies can enhance its effectiveness. Techniques such as cognitive-behavioral therapy (CBT), mindfulness practices, and regular physical activity can provide additional support in managing symptoms.

In summary, while the symptoms you're experiencing could be related to the new medication, they are not uncommon. Monitoring your symptoms and maintaining open communication with your healthcare provider will be key in finding the right balance in your treatment.